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Meaningful Use - Stage 3 RoadmapEligible Hospitals / Critical AccessHospitalsHow to meet Measure 1: (Objective can be met through various ways)1. This objective can be met by having a valid email address on the patient’s registration visit screen (ortheir authorized provider) in the Census Application. Once the patient is discharged, they will be sentan introductory email to create a login name and user password and their patient/clinical summary (orCCD) will then be available on the patient portal for them to view. The patient portal address will be the following: http://www.thrivepatientportal.com. Theauthorized representative entered in the census visit screen will also have access to the patientportal, giving the authorized representative access to the clinical information for the patient (visitthey were the authorized representative on). The authorized representative should be verifiedeach time a visit is created.2. This objective can also be met by placing the “patient portal launch” onto the Point of Care VirtualChart. The facility can follow this link and assist the patient in logging into the patient portal. Pleasenote: This will only update the numerator of this objective if the launch is chosen prior to 36 hoursafter discharge (to meet Measure 1 of this objective). However this launch will stay on the virtual chartfor the patient indefinitely so that the facility can instruct the patients how to log into their portal to alsomeet measure 2 of this objective.3. This objective can also be met by giving the patient information regarding how to log onto the portalor education classes that will be conducted on how to log into the portal etc. Once this is done,Release of Information can be manually updated with “PIA” which is the code for Patient PossessesInformation regarding portal that was created above.4. A custom patient education document can be created and tied to the Release of Information Code(Usually PIA is used) that is found in the Patient Possesses Info to Access Portal field in the Releaseof Information Control Table. Once that patient education document is given, this ROI entry will becreated to update statistics. Pathway: Thrive UX Charts Select Patient/Visit Patient Education Documents NewDocument Select Custom from the Search options Search for and select document set up forPortal Education Add to Pending Update Pending Select Document View or PrintIn order for patients/authorized representatives to access health information via the API access, theThrive patient portal login is needed. Therefore, the same methods listed above to access portal are thesame for API access. API access needs to be enabled, even if there are no APIs being utilized.NOTE: If “Exclude from Portal” or 'Exclude from API' is checked on a patient’s account, the account willnot display on the portal. That account will only count in the denominator.Denominator: Number of unique patients discharged from an eligible hospital or CAH's inpatient oremergency department during the EHR reporting period. Unique patients discharged during the reporting period.Numerator: Number of patients in the denominator (or patient authorized representative) who areprovided timely access to health information to view online, download, and transmit to a third party and toaccess using an application of their choice that is configured to meet the technical specifications of theAPI in the provider’s CEHRT. Unique patients who have been provided access within 36 hours of discharge via the following: Provided email address (patient or authorized provider) or Launch Portal from Virtual Chart or Provided education material and updated Release of InformationRevision Date: 10/02/20175

Meaningful Use - Stage 3 RoadmapEligible Hospitals / Critical AccessHospitals Patient in Room**Numerator Change with Reporting Year 2017: Starting with reporting year 2017, ALL patientencounters during the reporting period must have health information available within 36 hours in order forthe patient to count in the numerator.Medicaid Threshold: For more than 80 percent of all unique patients discharged from the eligible hospitalor CAH inpatient or emergency department (POS 21 or 23): The patient (or the patient authorized representative) is provided timely access to view online,download, and transmit his or her health information; and The provider ensures the patient’s health information is available for the patient (or patient authorizedrepresentative) to access using any application of their choice that is configuredMedicare Threshold: For more than 50 percent of all unique patients discharged from the eligible hospitalor CAH inpatient or emergency department (POS 21 or 23): The patient (or the patient authorized representative) is provided timely access to view online,download, and transmit his or her health information; and The provider ensures the patient’s health information is available for the patient (or patient authorizedrepresentative) to access using any application of their choice that is configuredIt is Evident’s interpretation that Measure 1 can be met once the patient possesses all informationnecessary to log into the portal as well as be able to access health information from API.Access is defined as the following: When a patient possesses all of the necessary information needed toview, download, or transmit their information. This could include providing patients with instructions onhow to access their health information, the website address they must visit for online access, a uniqueand registered username or password, instructions on how to create a login, or any other instructions,tools, or materials that patients need in order to view, download, or transmit their information.Measure 2 - Patient-Specific EducationThe eligible hospital or CAH must use clinically relevant information from CEHRT to identify patientspecific educational resources and provide electronic access to those materials to unique patientsdischarged from the eligible hospital or CAH inpatient or emergency department (POS 21 or 23) duringthe EHR reporting period.Applications needed to meet Objective: Patient Education Documents, InfoButton, Patient PortalSet-Up for Measure: InfoButton needs to be an active application.How to meet Measure 2:This objective will be met through the use of the Clinical Knowledge/InfoButton. When an educationdocument is given and saved using the Clinical Knowledge option, this will be recorded onto the patient’saccount. The document will then be available on the portal for patients/authorized representatives toaccess.Revision Date: 10/02/20176

Meaningful Use - Stage 3 RoadmapEligible Hospitals / Critical AccessHospitalsFor patients to have access to the patient education documents from portal, they will need the samerequirements listed for Measure 1 (Provide Timely Access): Provided email address (patient or authorized representative) orLaunch Portal from Virtual Chart orProvided education material and updated Release of InformationPatient in RoomThe main difference is that there is no 36 hour time constraint for this objective. The information has to beavailable by end of calendar year.Pathway: Thrive UX Charts Select Patient/Visit Patient Education Documents Clinical Knowledge Select Infobutton (blue button with “i”) for the desired category (patient’s problems, medications) Double-click desired document Double-click desired language Print/Save or SaveDenominator: The number of unique patients discharged from an eligible hospital’s or CAH’s inpatient oremergency department (POS 21 or 23) during the EHR reporting period.Number of unique patients admitted during the reporting period.Numerator: The number of patients in the denominator who were provided electronic access to patientspecific educational resources using clinically relevant information identified from CEHRT during the EHRreporting period. For patients to have access to the patient education documents from portal, they willneed the same requirements listed for Measure 1 (Provide Timely Access)Numerator Action: Can take place within the Calendar Year (Not limited to reporting period)Medicaid Threshold: The eligible hospital or CAH must use clinically relevant information from CEHRT toidentify patient-specific educational resources and provide electronic access to those materials to morethan 35 percent of unique patients seen by the EP or discharged from the eligible hospital or CAHinpatient or emergency department (POS 21 or 23) during the EHR reporting period.Medicare Threshold: The eligible hospital or CAH must use clinically relevant information from CEHRT toidentify patient-specific educational resources and provide electronic access to those materials to morethan 10 percent of unique patients seen by the EP or discharged from the eligible hospital or CAHinpatient or emergency department (POS 21 or 23) during the EHR reporting period.Applicable Presentations:Patient-Specific Education Resources (Eligible Hospital)Important to Note: Failure to provide the patient with electronic access to their health information resultsin a failure to provide them with electronic access to their patient education documents. Therefore, inorder to meet measure 2 of Patient Electronic Access, measure 1 must be met on the patient as well.Revision Date: 10/02/20177

Meaningful Use - Stage 3 RoadmapEligible Hospitals / Critical AccessHospitalsCoordination of Care through Patient Engagement (3 measures)Must attest to all three measures and must meet the thresholds for at least two measures in order to meetthe objective.Measure 1: View, Download, and TransmitUnique patients (or their authorized representatives) discharged from the eligible hospital or CAHinpatient or emergency department (POS 21 or 23) actively engage with the electronic health recordmade accessible by the provider and either:1. View, download or transmit to a third party their health information; or2. Access their health information through the use of an API that can be used by applications chosen bythe patient and configured to the API in the provider's CEHRT; or3. A combination of (1) and (2)Applications needed to meet Objective: Patient Portal, API AccessSet-Up for Measure: Patient and/or patient’s authorized representative must have a Patient Portal login setup. Facilities will need to have Patient Portal and API Access set to ActiveHow to meet Measure 1: Patients/Authorized representatives will need to set up a patient portal login. That login will be usedfor both Thrive Patient Portal as well as any API access via a third party application. Patients canlogin to the portal via the POC Virtual Chart or from www.thrivepatientportal.com. They can choose a visit and either view, download or transmit their patient/clinical summary (orCCD). Patients can also access their information via API Access (third party vendor).Denominator: Number of unique patients discharged from an eligible hospital's or CAH's inpatient oremergency department) during the EHR reporting period. Unique patients discharged during reporting period.Numerator: The number of unique patients (or their authorized representatives) in the denominator whohave viewed online, downloaded, or transmitted to a third party the patient’s health information during theEHR reporting period and the number of unique patients (or their authorized representatives) in thedenominator who have accessed their health information through the use of an API during the EHRreporting period. Unique patients in denominator who have done one of the following with Discharge Information(CCD) provided by the hospital: Viewed Online Downloaded Transmitted CCD-Patient Summary to a 3rd PartyRevision Date: 10/02/20178

Meaningful Use - Stage 3 RoadmapEligible Hospitals / Critical AccessHospitals Accessed information from a third party application via APINumerator Action: Can take place within the Calendar Year (Not limited to reporting period)Medicaid 2017 Threshold: More than 5% of all unique patients (or their authorized representatives)discharged from the eligible hospital or CAH inpatient or emergency department (POS 21 or 23) activelyengage with the electronic health record made accessible by the provider and either:1. View, download or transmit to a third party their health information; or2. Access their health information through the use of an API that can be used by applications chosen bythe patient and configured to the API in the provider's CEHRT; or3. A combination of (1) and (2)Medicaid 2018 Threshold: More than 10% of all unique patients (or their authorized representatives)discharged from the eligible hospital or CAH inpatient or emergency department (POS 21 or 23) activelyengage with the electronic health record made accessible by the provider and either:1. View, download or transmit to a third party their health information; or2. Access their health information through the use of an API that can be used by applications chosen bythe patient and configured to the API in the provider's CEHRT; or3. A combination of (1) and (2)Medicare/Dual Eligible 2017/2018 Threshold: At least 1 patient (or patient-authorized representative)discharged from the eligible hospital or CAH inpatient or emergency department (POS 21 or 23) activelyengages with the electronic health record made accessible by the provider and either:1. Views, downloads or transmits to a third party their health information; or2. Accesses his/her health information through the use of an API that can be used by applicationschosen by the patient and configured to the API in the provider's CEHRT; or3. A combination of (1) and (2)Measure 2 - Secure Electronic MessagingFor all Unique patients discharged from the eligible hospital or CAH inpatient or emergency department(POS 21 or 23) during the EHR reporting period, a secure message was sent using the electronicmessaging function of CEHRT to the patient (or the patient-authorized representative), or in response to asecure message sent by the patient (or the patient-authorized representative).Applications needed to meet Objective: Secure Messaging and Patient Portal with Secure MessagingSet-Up for Measure: Patient must have a Patient Portal login setup. Each provider number can only be attached to one UBL.Revision Date: 10/02/20179

Meaningful Use - Stage 3 RoadmapEligible Hospitals / Critical AccessHospitals Provider may set up a folder on their Home Screen for Secure Messages. Pathway: Home Screen New Enter a Name and Description (example: Secure Messaging) Under Select Options, select the green icon next to Task Type Under Configure Items, SelectTask Type Secure Patient Message Insert OK Select the back arrow to return to theHome Screen.How to meet Measure 2: Provider must send a new secure electronic message to the patient (or patient’s authorizedrepresentative) or respond to a secure message sent by the patient (or patient’s authorizedrepresentative). Pathway for Provider to send a secure message to the patient: Thrive UX Charts SelectPatient Select Communication Secure Messaging Select Patient or Patient’s AuthorizedRepresentative Continue Enter Subject and Message Send. Pathway for patient to send a secure message to the provider: Internet Explorer Type addresswww.thrivepatientportal.com Log in with username and password Message Center Selectthe pencil in the upper right hand corner Enter Subject and Message Send. *In order to countin the numerator, the provider must respond to the secure message sent by thepatient/authorized representative.NOTE: Message must be clinically relevant, and marked as such, to count in the numerator.Denominator: Number of unique patients discharged from an eligible hospital or CAH inpatient oremergency department (POS 21 or 23) during the EHR reporting period. Number of unique patients with a visit that is admitted and discharged during the reporting period.Numerator: The number of patients in the denominator for whom a secure electronic message is sent tothe patient (or patient-authorized representative) or in response to a secure message sent by the patient(or patient-authorized representative), during the EHR reporting period.Medicaid 2017 Threshold: For more than 5 percent of all unique patients discharged from the eligiblehospital or CAH inpatient or emergency department (POS 21 or 23) during the EHR reporting period, asecure message was sent using the electronic messaging function of CEHRT to the patient (or thepatient-authorized representative), or in response to a secure message sent by the patient (or the patientauthorized representative).Medicaid 2018 Threshold: For more than 10 percent of all unique patients discharged from the eligiblehospital or CAH inpatient or emergency department (POS 21 or 23) during the EHR reporting period, asecure message was sent using the electronic messaging function of CEHRT to the patient (or thepatient-authorized representative), or in response to a secure message sent by the patient (or the patientauthorized representative).Medicare 2017 and 2018 Threshold: For more than 5 percent of all unique patients discharged from theeligible hospital or CAH inpatient or emergency department (POS 21 or 23) during the EHR reportingperiod, a secure message was sent using the electronic messaging function of CEHRT to the patient (orthe patient-authorized representative), or in response to a secure message sent by the patient (or thepatient-authorized representative).Revision Date: 10/02/201710

Meaningful Use - Stage 3 RoadmapEligible Hospitals / Critical AccessHospitalsMeasure 3 - Patient Generated Health Information CapturePatient generated health data or data from a nonclinical setting is incorporated into the CEHRT for uniquepatients discharged from the eligible hospital or CAH inpatient or emergency department (POS 21 or 23)during the EHR reporting period.Applications needed to meet Objective: Patient Portal, Electronic File Management, InformationSubmissionSet-Up for Measure: If adding documents from the portal, the patient/authorized rep will need a patient portal login. Image Titles will need to be set up: Path: Thrive UX Tables Business Office Titles (Under Images Heading) Select Image Title Select 'Health Information' field on the Image TitleHow to meet Measure 3:Patients can upload Health Information documents from the Patient Portal. The documents can then beimported by the facility from the Patient's Profile Path: Thrive UX System Menu Select Facility Patient Profile Select Patient InformationSubmissions Select Document Select Import Assign an account number and Image TitleIf the patient gives the health information directly to the provider/health care team, the user can uploadthe data via Electronic File Management Path: Thrive UX System Menu Select Facility Select Visit Electronic File Management AddFile Select Location Select Image Title Check Patient Information Submissions Box Save FileDenominator: Number of unique patients discharged from an eligible hospital or CAH inpatient oremergency department (POS 21 or 23) during the EHR reporting period.Numerator: The nu

purchase the Meaningful Use Stage 3 Bundle. Below is a list of items that will need to be implemented prior to the start of your attestation period: Load Version 20 Thrive UX enabled for necessary users Updated Patient Portal installed Once the Meaningful Use Stage 3 Bundle has been purchased, you will be receiving a process document